Mindara Modern Psychiatry Llc | |
4321 W College Ave Ste 200 Appleton WI 54914-3968 | |
(920) 664-6630 | |
Not Available |
Full Name | Mindara Modern Psychiatry Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4321 W College Ave Ste 200, Appleton, Wisconsin |
Authorized Official Name and Position | Yasleny Baker (OWNER/PMHNP-BC) |
Authorized Official Contact | 9206646630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mindara Modern Psychiatry Llc 4321 W College Ave Ste 200 Appleton WI 54914-3968 Ph: () - | Mindara Modern Psychiatry Llc 4321 W College Ave Ste 200 Appleton WI 54914-3968 Ph: (920) 664-6630 |
NPI Number | 1124901137 |
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Provider Enumeration Date | 07/28/2025 |
Last Update Date | 07/28/2025 |
Certification Date | 07/16/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124901137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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